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Is there an age limit for getting health insurance as a sportsperson?No, but athletes should get comprehensive plans at a young age to cover potential injuries.
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Are injuries during tournaments covered under regular health insurance?No, most standard health policies do not cover professional sports injuries, but sports-specific insurance does.
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Can athletes get disability coverage in case of career-ending injuries?Yes, disability insurance or personal accident insurance provides compensation for career-threatening injuries.
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Are international treatments for sports injuries covered?Some premium policies offer global health insurance, covering treatment abroad for sports-related conditions.
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Are alternative treatments like physiotherapy or Ayurveda covered?Some policies cover physiotherapy, chiropractic care, and Ayurveda, but only under specific plans.
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Can athletes get disability coverage in case of career-ending injuries?Yes, disability insurance or personal accident insurance provides compensation for career-threatening injuries.
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Do professional athletes get special health insurance plans?Yes, some insurers offer sports insurance plans covering sports injuries, physiotherapy, and rehabilitation.
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What is the best health insurance for a sportsperson in India?Some recommended plans include: ManipalCigna ProHealth Insurance (sports injury coverage) Tata AIG Sports Insurance (coverage for training & competitions) Star Health Comprehensive Plan (physiotherapy & rehab coverage)
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What type of insurance is best for athletes?Athletes should get sports health insurance, critical illness coverage, and personal accident insurance.
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Does health insurance cover ligament injuries and surgeries?Yes, but only if the plan includes coverage for sports injuries or orthopedic procedures.
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What happens if a widow cannot afford health insurance?She can opt for government schemes, low-premium health insurance plans, or senior citizen insurance plans (if eligible).
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Does widow health insurance cover home healthcare?Some policies cover home treatment expenses, especially for post-hospitalization recovery.
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Are there any government health schemes for widows in India?Yes, schemes like Ayushman Bharat (PMJAY) and state-specific widow pension schemes offer health benefits.
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Can widows with children get a family floater plan?Yes, they can purchase a family health insurance plan to cover themselves and their children.
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Are mental health and depression treatments covered for widows?Yes, many modern health insurance policies cover mental health counseling and psychiatric treatment.
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Is there a waiting period for widow health insurance plans?Yes, most plans have a waiting period of 2-4 years for pre-existing diseases and maternity benefits.
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What type of health insurance is best for widows?Individual health plans with critical illness coverage and senior citizen health insurance (for older widows) are good choices.
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Can a widow get maternity coverage if she remarries?Yes, if she enrolls in a new health insurance plan with maternity benefits, she can get pregnancy-related coverage after the waiting period.
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Can a widow get a health insurance plan without income proof?Yes, some insurance companies offer basic health insurance plans without income proof, but coverage may be limited.
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Can widows continue their late spouse’s health insurance policy?Yes, if the policy was a family floater, widows can continue as the primary policyholder. If not, they may need to get a new policy.
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Can single parents get a health insurance policy that covers their children?Yes, family floater plans allow single parents to include their children under the same policy for comprehensive coverage.
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Does health insurance cover mental health for single parents?Yes, many modern policies now include mental health coverage, including therapy and counseling.
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Can single parents get critical illness insurance?Yes, critical illness insurance can provide lump sum payments for major diseases like cancer, stroke, or kidney failure.
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What is the best type of health insurance for a single parent?A family floater plan or individual plans for both the parent and child are good options. Some insurers offer customized plans for single parents.
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Will my child be covered if I pass away?If the parent passes away, the child may remain covered until the policy term ends, but it's advisable to nominate a guardian for claim settlements.
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Are there any discounts or special benefits for single parents?Some insurers provide premium discounts or additional child coverage benefits to single parents, but these vary by policy.
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Does health insurance cover surrogacy or adoption for single parents?Some maternity insurance plans cover surrogacy costs, while most insurers allow adopted children to be added to family floater plans.
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Can a single father get a health insurance policy that includes his child?Yes, many family health insurance plans allow single fathers to add their children as dependents.
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What happens if I can’t pay my health insurance premium?Some insurers offer grace periods or policy revival options. It’s best to choose a plan with low premiums or opt for long-term payment plans.
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Does health insurance cover maternity expenses for single mothers?Yes, many plans include maternity benefits, covering delivery costs, prenatal, and postnatal care, but there might be a waiting period.
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Do defense personnel get special health insurance plans?Yes, Indian defense personnel (Army, Navy, Air Force, CRPF, BSF, etc.) are covered under government health schemes like ECHS (Ex-Servicemen Contributory Health Scheme). They can also buy private health insurance for additional benefits.
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What is ECHS, and how does it benefit ex-servicemen?ECHS (Ex-Servicemen Contributory Health Scheme) provides cashless treatment in government and empaneled private hospitals for ex-servicemen and their dependents, covering hospitalization, medicines, and diagnostics.
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Does defense health insurance cover mental health treatment?ECHS and some private health insurance plans cover mental health issues like PTSD, depression, and anxiety, but coverage details vary by policy.
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Are family members of defense personnel covered under health insurance?Yes, spouses, children, and dependent parents of defense personnel are covered under ECHS. They can also be included in family floater health insurance policies for extra benefits.
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What are the best private health insurance plans for defense personnel?Some of the best private insurance options for defense personnel and their families include: Tata AIG Medicare (wide network, cashless hospitalization) HDFC ERGO Optima Restore (high sum insured, critical illness cover) ICICI Lombard Complete Health (comprehensive coverage, wellness benefits)
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Does health insurance for defense personnel cover war injuries or disability?ECHS covers war-related injuries for veterans, while serving personnel are covered under military medical facilities. Private insurance may not cover injuries due to war, terrorism, or active combat.
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Does ECHS cover treatment in private hospitals?Yes, ECHS allows treatment in empaneled private hospitals, but it requires approval. In emergency cases, treatment in non-empaneled hospitals may be reimbursed.
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Can defense personnel get international health insurance?ECHS does not cover treatment abroad, but defense personnel can buy global health insurance from private insurers for overseas medical care.
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Can defense personnel purchase private health insurance apart from ECHS?Yes, defense personnel and their families can buy private health insurance for wider coverage, faster claims, and international treatment options, which ECHS may not fully cover.
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Is health insurance available for retired defense personnel?Yes, retired defense personnel are covered under ECHS for life. They can also buy private senior citizen health insurance plans for wider coverage.
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Does health insurance cover infant vaccinations?Standard health insurance does not cover routine baby vaccinations, but some comprehensive plans or add-ons offer partial or full coverage for vaccines like BCG, polio, and hepatitis B.
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What medical expenses for newborns are covered under health insurance?Coverage typically includes vaccinations, NICU (Neonatal Intensive Care Unit) expenses, congenital disease treatment, and postnatal care. However, coverage varies by policy.
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Are congenital diseases in babies covered under health insurance?Some policies cover congenital disorders (birth defects), but not all insurance plans include them by default. Parents should check if their policy covers conditions like heart defects or Down syndrome.
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Does health insurance cover newborn babies?Yes, many maternity and family floater health insurance plans cover newborn babies from birth to a specific period (usually 90 days). After this period, parents must add the baby to the policy for continued coverage.
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When should I get health insurance for my baby?It is advisable to add the baby to a family floater policy or buy an individual child health plan as soon as the newborn coverage period (usually 90 days) ends to ensure continuous medical protection.
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Does health insurance cover medical emergencies while traveling abroad?Regular health insurance may not cover treatments outside India, but international health insurance or travel insurance covers emergency hospitalization, medical evacuation, and doctor consultations abroad.
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What happens if I need treatment abroad for a critical illness?Some premium health plans provide global treatment coverage for serious illnesses like cancer or organ transplants, allowing policyholders to seek treatment in countries with better medical facilities.
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Can NRIs buy health insurance in India?Yes, Non-Resident Indians (NRIs) can buy health insurance in India, but the policy usually covers treatment only in India unless specified under global coverage plans.
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Does health insurance cover pregnancy and maternity expenses?Yes, many health insurance plans provide maternity coverage, including hospitalization, delivery, and newborn care. However, there is usually a waiting period of 2-4 years before maternity benefits can be claimed.
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Are gynecological surgeries like hysterectomy covered under health insurance?Yes, most comprehensive health insurance policies cover gynecological surgeries like hysterectomy (removal of the uterus) if medically necessary. However, cosmetic procedures or elective surgeries may not be covered.
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Is infertility treatment covered under health insurance?Standard health insurance policies do not cover infertility treatments like IVF or IUI, but some specialized plans or add-ons may offer partial coverage under maternity benefits.
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Is HPV vaccination for cervical cancer covered under health insurance?Standard health insurance plans do not cover preventive vaccinations like HPV (Human Papillomavirus) vaccine for cervical cancer, but some insurers offer add-ons or wellness benefits that may include vaccine reimbursements.
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Can housewives get health insurance?Yes, housewives can buy individual health insurance policies or be included in family floater plans. Some insurers also offer special women-oriented plans that cover maternity benefits and lifestyle diseases.
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What is a women-specific health insurance plan?Women-specific health insurance plans are designed to cover women-centric illnesses like breast cancer, cervical cancer, pregnancy complications, osteoporosis, and gynecological disorders. Some plans also offer maternity benefits and newborn care.
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Are women-specific illnesses like PCOS, breast cancer, and osteoporosis covered?Yes, most comprehensive health insurance policies cover women-specific illnesses, including PCOS, breast cancer, cervical cancer, and osteoporosis. Some insurers even offer special women’s health policies with added benefits.
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Does health insurance cover childbirth complications and C-section delivery?Yes, many health insurance policies cover childbirth complications, including C-section deliveries, but coverage is subject to a waiting period (typically 2-4 years) and policy terms.
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How does health insurance help in medical emergencies?Health insurance provides immediate financial support for emergency hospitalizations, ambulance services, and ICU care, reducing out-of-pocket expenses during critical situations.
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Why is medical insurance important for serious health conditions?Serious health conditions like cancer, heart disease, kidney failure, and stroke require expensive treatments. Health insurance helps cover high medical costs, ensuring quality care without financial strain.
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Does health insurance cover critical illnesses like cancer and heart attacks?Yes, many policies include critical illness coverage, providing a lump sum amount on diagnosis of severe diseases like cancer, heart attack, stroke, or organ failure. Some policies require an additional critical illness rider for coverage.
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Does health insurance cover long-term diseases like kidney failure and diabetes?Yes, health insurance covers chronic illnesses like kidney failure, diabetes, and hypertension, but pre-existing disease coverage may have a waiting period (usually 2-4 years). Some plans offer day-care procedures and dialysis coverage.
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What happens if a person is diagnosed with a serious disease after buying insurance?If diagnosed after purchasing the policy, the treatment will be covered as per policy terms. If it was a pre-existing condition, it will be covered only after the waiting period.
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What is the impact of not having health insurance during a medical crisis?Without health insurance, patients may struggle to afford costly surgeries, long-term treatments, or medications, leading to financial debt, delayed treatments, or even inadequate medical care.
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Is mental health covered under health insurance?Yes, as per IRDAI regulations, mental health conditions like depression, schizophrenia, and bipolar disorder must be covered by health insurance policies. However, the coverage may vary based on policy terms.
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Are regular medical check-ups covered?Many senior citizen health plans provide free annual health check-ups as part of wellness benefits.
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Does senior citizen health insurance cover pre-existing diseases?Yes, most plans cover pre-existing conditions like diabetes, hypertension, and heart disease, but with a waiting period (1-4 years).
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Do senior citizen policies cover critical illnesses like cancer or stroke?Yes, some policies provide critical illness coverage for diseases like cancer, heart attack, kidney failure, stroke, and Alzheimer’s, but they may require an additional critical illness rider.
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What is the maximum entry age for senior citizen health insurance?The entry age varies by insurer. Some policies allow entry up to 70-80 years, while a few no-limit policies provide coverage for individuals above 80 years. However, premiums may be higher for older applicants.
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What are the best health insurance plans for senior citizens in India?Some of the best policies include: Star Health Senior Citizens Red Carpet (covers pre-existing diseases from day 1) HDFC ERGO Optima Secure (lifetime renewability, no room rent cap) Care Senior Citizen Plan (AYUSH coverage, annual check-ups)
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Can I buy health insurance for my parents after 60?Yes, many insurers offer senior citizen plans for people above 60 with benefits like cashless hospitalization and lifetime renewability.
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What is senior citizen health insurance?Senior citizen health insurance is a specialized policy designed for individuals aged 60 years and above. It covers medical expenses such as hospitalization, critical illnesses, pre-existing diseases, and domiciliary treatment.
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Can senior citizens buy health insurance without a medical test?Some insurers offer policies without mandatory medical tests, but these may come with higher premiums or limited coverage. Many insurers, however, require basic medical tests to assess health risks before issuing a policy.
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Is there an age limit for buying senior citizen health insurance?Most policies allow entry up to 70-80 years, while some offer lifetime renewability. It’s best to buy a policy as early as possible for lower premiums.
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Are alternative treatments like Ayurveda or Homeopathy covered?Yes, many insurers cover AYUSH (Ayurveda, Yoga, Unani, Siddha, and Homeopathy) treatments in recognized hospitals.
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What happens if a senior citizen’s health insurance policy lapses?If a senior citizen's health policy lapses due to non-payment of premium, insurers provide a grace period (15-30 days) to renew it. If not renewed within this period, the policyholder loses all benefits, including waiting period credits and pre-existing disease coverage. To avoid this, opting for automatic premium payment or long-term policies (2-3 years) is advisable.
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Is there a waiting period for pre-existing diseases in senior citizen health insurance?Yes, most senior citizen policies have a waiting period (typically 1-4 years) before covering pre-existing diseases. Some insurers offer policies with shorter waiting periods or immediate coverage for an additional premium.
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What are the key benefits of senior citizen health insurance?Some important benefits include: Cashless hospitalization at network hospitals Coverage for pre-existing conditions (after the waiting period) Domiciliary hospitalization (home treatment) Coverage for day-care procedures (like cataract surgery) Higher sum insured to cover age-related illnesses
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Is there a co-payment clause in senior citizen health insurance?Yes, most senior citizen policies have a co-payment clause (10%-30%), meaning the policyholder pays a percentage of the total bill while the insurer covers the rest.
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Are home healthcare and domiciliary treatments covered?Yes, some plans cover home treatment (domiciliary care) if hospitalization is not possible due to medical conditions or bed unavailability.
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Are ambulance charges covered for non-emergency situations?No, most health insurance policies cover ambulance services only for medical emergencies. Non-emergency transport (e.g., routine hospital visits) is usually not covered.
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Are air ambulances covered under health insurance?Some health insurance plans offer air ambulance coverage as an add-on or premium feature, mainly for patients requiring urgent long-distance transfers, but coverage depends on the policy terms.
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Does health insurance cover ambulance charges?Yes, many health insurance policies cover ambulance charges, but there may be a limit on the amount. Some policies provide full coverage for emergency ambulance services, while others cover a fixed amount per hospitalization.
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Is there a limit on the number of ambulance claims in a year?Some policies restrict the number of ambulance claims per year, while others offer unlimited ambulance coverage under comprehensive health plans. Always check the policy terms for details.
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What is the difference between emergency and non-emergency ambulance services?Emergency ambulance services are used for critical situations like heart attacks, accidents, or strokes where immediate medical attention is required. Non-emergency ambulance services are for patient transfers, routine check-ups, or shifting patients between hospitals when urgent care is not needed.
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Can workers get compensation for physical injuries on the job?Yes, under workers’ compensation laws, employees injured while performing their job duties may receive medical expenses, lost wages, and disability benefits from their employer's insurance. The coverage and benefits vary based on labor laws in different regions.
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How does physical work affect health insurance eligibility?People involved in high-risk physical jobs (such as construction workers, miners, or factory laborers) may have higher insurance premiums due to increased chances of injuries or health issues. Some insurers may require additional medical tests before issuing coverage.
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What is the maximum ambulance charge covered by health insurance?The coverage amount varies by insurer and plan. Basic plans may cover ₹1,000 – ₹5,000 per hospitalization, while premium plans offer higher or full reimbursement for ambulance expenses.
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What is co-payment in health insurance?Co-payment, or co-pay, is a fixed percentage of the claim amount that the policyholder agrees to pay out-of-pocket, with the remaining amount covered by the insurer.
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What is an out-of-pocket maximum?The out-of-pocket maximum is the maximum amount a policyholder is required to pay for covered services in a policy period, after which the insurance company covers 100% of the remaining costs.
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What is a cashless hospitalization facility?Cashless hospitalization allows policyholders to receive treatment at network hospitals without paying upfront; the insurer settles the bills directly with the hospital.
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What is a deductible in health insurance?A deductible is a fixed amount the policyholder must pay out-of-pocket before the insurance coverage kicks in.
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What is the difference between co-payment and coinsurance?Co-payment is a fixed amount paid for specific services, while coinsurance is a percentage of the total cost of services shared between the policyholder and insurer after the deductible is met.
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What is the difference between individual and group health insurance?Individual health insurance covers a single person, while group health insurance is provided by employers or organizations covering multiple individuals under one policy.
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What is the difference between indemnity and defined-benefit health insurance plans?Indemnity plans reimburse actual medical expenses up to the sum insured, while defined-benefit plans pay a fixed amount upon diagnosis of specific illnesses or conditions.
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How are pre- and post-hospitalization expenses covered?Many policies cover medical expenses incurred before and after hospitalization for a specified number of days, as defined in the policy terms.
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What is the difference between cashless and reimbursement claims?In cashless claims, the insurer pays the hospital directly. In reimbursement claims, the policyholder pays the expenses first and then claims reimbursement from the insurer.
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What is a Critical Illness Insurance policy?Critical Illness Insurance provides a lump sum payment upon diagnosis of specified life-threatening diseases like cancer, heart attack, or stroke.
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Is there an age limit for purchasing health insurance?While many insurers have an upper age limit for purchasing new policies, several companies offer plans specifically designed for senior citizens.
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What is a health insurance premium?A health insurance premium is the amount you pay to the insurance company, typically on a monthly or annual basis, to maintain your health insurance coverage.
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Why do I need health insurance?Health insurance helps cover the high costs of medical treatments, hospitalizations, and doctor visits. It provides financial protection against unexpected medical emergencies and ensures access to quality healthcare.
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Are alternative treatments like Ayurveda, Yoga, and Homeopathy covered under health insurance?Many health insurance policies in India now cover alternative treatments under AYUSH (Ayurveda, Yoga, Unani, Siddha, and Homeopathy). It's advisable to check the specific policy terms for details.
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